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5V3-14630-21909

1 vaccination 4 coded responses 15 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
670 / KS
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Registered in v-safe
  2. 2021-02-02
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-23
    Survey response — day 21, dose 1
    MedDRA: Antibiotic therapy, Lung disorder, X-ray — Feeling: Good
    Free text: X ray shows spot on lung today. Will do antibiotics and then decide when to have second shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-02
    Survey response — day 28, dose 1
    MedDRA: Cough — Feeling: Good
    Free text: unrelated to COVID shot, persistent cough starting well before COVID shot, exam CT scan abnormal, started 10 day antibiotic and will be re-evaluated before getting second COVID shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-09
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-03-16
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-05-04
    Survey response — 3 months, dose 1
    MedDRA: Biopsy lung abnormal, Lung neoplasm malignant, Non-small cell lung cancer — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Biopsy shows invasive non small cell carcinoma in right lung
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-04
    Report sent to call center — 3 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-08-03
    Survey response — 6 months, dose 1
    MedDRA: Non-small cell lung cancer — Feeling: Good
    Free text: invasive non-small cell lung cancer. results of 3 biopsyfrom upper digestive tract pending
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2022-04-15

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-23

Symptoms: X ray shows spot on lung today. Will do antibiotics and then decide when to have second shot

Release 4 — day 28, dose 1

2021-03-02

Symptoms: unrelated to COVID shot, persistent cough starting well before COVID shot, exam CT scan abnormal, started 10 day antibiotic and will be re-evaluated before getting second COVID shot.

Release 8 — 3 months, dose 1

2021-05-04

Symptoms: Biopsy shows invasive non small cell carcinoma in right lung

Release 9 — 6 months, dose 1

2021-08-03

Symptoms: invasive non-small cell lung cancer. results of 3 biopsyfrom upper digestive tract pending

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDAntibiotic therapy ✓ ✓ ✓
SDBiopsy lung abnormal ✓ · ✓
SDCough ✓ ✓ ✓
SDLung disorder ✓ ✓ ✓
SDLung neoplasm malignant ○ ✓ ○
SDNon-small cell lung cancer ✓ · ✓
SDX-ray ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release